tag:blogger.com,1999:blog-74040763802053122042024-03-17T02:29:12.304-07:00Uganda Support MissionBringing humanitarian aid, service and support to Western Uganda.Rachel Hammelhttp://www.blogger.com/profile/00616925125111081013noreply@blogger.comBlogger47125tag:blogger.com,1999:blog-7404076380205312204.post-27385956676479766972013-02-09T23:51:00.001-08:002013-02-09T23:51:11.571-08:00Last Days In UgandaAfter our fourth outreach the team spent Saturday, February 9, on Safari. We saw Uganda's natural beauty in both the majestic scenery and fascinating wildlife. We also had an extremely rare sighting of a leopard and cub.<br />
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Now the team is splitting up and headed our different ways. Pam, Nick, and Kat are staying in Uganda an extra week to continue medical work, follow up with some patients from the outreaches, and continue to learn about Uganda. Others are headed to a variety of locations and most are headed straight back to California. <br />
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The team developed strong personal bonds and collaborative working partnerships. We all look forward to reuniting back in California and sharing our lessons and experiences with our families back home. John-Paul Farsighthttp://www.blogger.com/profile/07114904214516409907noreply@blogger.com0tag:blogger.com,1999:blog-7404076380205312204.post-21579712724225533812013-02-08T10:52:00.001-08:002013-02-08T10:52:10.082-08:00Outreach 4: ButitiOur fourth outreach, February 8, was in a prison and church on the town of Butiti. The morning was spent treating and giving HIV tests to 60 prisoners. After that we opened the clinic in the town center in the afternoon. We saw 114 patients in town. <br/><br/><div class="separator"style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjOi9afIXUtL-k4DrFKAetWZ4vv-53gcEWihwodNR5IcrclTaVoOOdSfLsveCxanfiauiS_s8Q4dY0LjRwrw8OymRfdCkgPFN13nIpmkFuw_fZnt8xyZj46qcOK5kIZaXzJiuVpqlUxnWM/s640/blogger-image-876782877.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjOi9afIXUtL-k4DrFKAetWZ4vv-53gcEWihwodNR5IcrclTaVoOOdSfLsveCxanfiauiS_s8Q4dY0LjRwrw8OymRfdCkgPFN13nIpmkFuw_fZnt8xyZj46qcOK5kIZaXzJiuVpqlUxnWM/s640/blogger-image-876782877.jpg" /></a></div>John-Paul Farsighthttp://www.blogger.com/profile/07114904214516409907noreply@blogger.com0tag:blogger.com,1999:blog-7404076380205312204.post-43592938681523517572013-02-08T10:47:00.001-08:002013-02-08T10:47:00.297-08:00Outreach 3: NyambaOur third outreach, February 7, was in a town called Nyamba which is one hour away from Kaihura. It is far away from any main transportation arteries or clinics along a road in poor condition. A significant portion of the patient population are refugees from Rwanda who have settled in this isolated valley. We treated 175 patients in Nyamba.John-Paul Farsighthttp://www.blogger.com/profile/07114904214516409907noreply@blogger.com1tag:blogger.com,1999:blog-7404076380205312204.post-72635697960668060652013-02-06T10:32:00.001-08:002013-02-06T10:32:11.124-08:00Kaihura, Day TwoOur second outreach, February 6, was also in Kaihura. Some systems were changed in multiple areas including registration, triage, and lab. These changes, along with ongoing team bonding and cohesion allowed for better operational flow and patient comfort. This also enabled the team to see and treat over 240 patients. John-Paul Farsighthttp://www.blogger.com/profile/07114904214516409907noreply@blogger.com0tag:blogger.com,1999:blog-7404076380205312204.post-68590657857102800642013-02-05T11:17:00.001-08:002013-02-05T11:26:06.674-08:00Our First Clinic OutreachOur first clinic outreach, February 5, was in Kaihura, the town where Bringing Hope is centered. The team saw 207 patients and performed 82 HIV tests. It was a learning experience in inter-cultural medicine as providers learned to adjust their questions to cultural concepts and local health literacy. <br/><br/><div class="separator"style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj0DvGy1y4QGj1tMBBpHOeVC2cTwRL-zM07TRdhdO5vQqeVJ-To0gFZ7RAOHW7unsPFCZKFRdJeiyMTjPaf1lajLo8RKeGNYgUSkL9-cSH7WsXAUl1fEcvXn2wAtKbPQrBO72aNfwFNBxc/s640/blogger-image--1938351672.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj0DvGy1y4QGj1tMBBpHOeVC2cTwRL-zM07TRdhdO5vQqeVJ-To0gFZ7RAOHW7unsPFCZKFRdJeiyMTjPaf1lajLo8RKeGNYgUSkL9-cSH7WsXAUl1fEcvXn2wAtKbPQrBO72aNfwFNBxc/s640/blogger-image--1938351672.jpg" /></a></div> <br/><br/><div class="separator"style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhSiTWVSXt2EBwUqY0Bxvk6iaXYZfG-PHTXb_5AKHTK2H2sCoOaJ5Yg3cRt7ZD2u1WeJMlftTmLwnNYsF7cle_snrVLWB71sIm1mSGS4mVqP5Y8CVJorULBcHmjUK6dCf3Zer4ncGILAwM/s640/blogger-image-712832999.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhSiTWVSXt2EBwUqY0Bxvk6iaXYZfG-PHTXb_5AKHTK2H2sCoOaJ5Yg3cRt7ZD2u1WeJMlftTmLwnNYsF7cle_snrVLWB71sIm1mSGS4mVqP5Y8CVJorULBcHmjUK6dCf3Zer4ncGILAwM/s640/blogger-image-712832999.jpg" /></a></div>John-Paul Farsighthttp://www.blogger.com/profile/07114904214516409907noreply@blogger.com0tag:blogger.com,1999:blog-7404076380205312204.post-1231302816837836742013-02-05T11:16:00.001-08:002013-02-05T11:16:02.600-08:00Please Also Follow the Sasser's BlogThe Sasser's, the wonderful missionary couple with our partner organization Know.Think.Act also have a blog and post great information and pictures. I would recommend that you also check it out. The address are TheSasserFamilyAdventures.blogspot.com and GlobalSupportMission.com/blog.John-Paul Farsighthttp://www.blogger.com/profile/07114904214516409907noreply@blogger.com0tag:blogger.com,1999:blog-7404076380205312204.post-61817132827483534912013-02-05T10:56:00.001-08:002013-02-05T11:05:53.916-08:00Our First Day In the FieldOur third day, February 3rd, was spent out in the field. Our team of pharmacists spent the day at the clinic for a distribution of HIV medication and consulting with patients in HIV treatment. <br />
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The rest of the team went on home visits to a cluster of remote homes. On these visits the team set ip malaria nets, provided consultations and identified two malaria cases. <br />
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The evening was spent completing the sorting and preparation of the medicines for the outreach.<br />
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One of the best parts about visiting Uganda is the children. Chris Pineda is enjoying her time with one of the infants from the orphanage.<br />
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John Paul Farsight is using his machete skills to cut down a bundle of bananas (matooke). Matooke is one of the stable foods in Uganda.<br />
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Dr. Deb Adey connecting with a local during home visits. <br />
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The team sorting supplies for the medical outreaches this week.Anonymoushttp://www.blogger.com/profile/01754927478732269167noreply@blogger.com0tag:blogger.com,1999:blog-7404076380205312204.post-10361521820538213222013-02-03T19:18:00.000-08:002013-02-05T11:18:15.892-08:00Building Community Bonds and Preparing for the OutreachesOur second day, February 3nd, was spent building community bonds and preparing for the medical outreaches. We began the day by attending the Kaihura Full Gospel Internation Church and experiencing the love and hospitality of the Kaihura community. <br />
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In the afternoon we visited the Dorcas Vocational School and Farm, which provides agricultural training for older children and a significant portion of the food for the Home Again Children's Home. On the tour our team learned about the local food supply and diet.<br />
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In late afternoon and evening the team sorted and prepared the medicines and medical supplies for the outreacees. The team also planned treatments and packaged medications based on the diseases we are likely to encounter and their treatments.<br />
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John-Paul Farsighthttp://www.blogger.com/profile/07114904214516409907noreply@blogger.com0tag:blogger.com,1999:blog-7404076380205312204.post-92122785949911666932013-02-03T12:31:00.001-08:002013-02-03T12:31:12.011-08:00Team outing~ Fort Portal hike<div class="separator" style="clear: both; text-align: center;">
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<br />John-Paul Farsighthttp://www.blogger.com/profile/07114904214516409907noreply@blogger.com0tag:blogger.com,1999:blog-7404076380205312204.post-26625104319983121722013-02-02T13:51:00.000-08:002013-02-03T13:49:44.911-08:00Developing An Initial Understanding of Kaihura <div class="separator" style="clear: both; text-align: left;">
The team arrived in Kaihura on the evening of Friday, February 1. Our first day, Saturday February 2nd, was spent developing an initial understanding of Kaihura, its surrounding region, and the various projects run by Bringing Hope and Know.Think.Act..</div>
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We began with a tour of Kaihura led by Katie Sasser, a missionary on the ground in Kaihura with Know.Think.Act.. On our tour we first visited the site of the new clinic and learned about its mission to serve the exteneded community and set a higher standard for patient service. We then visted Home Again children's home and spent some time getting to know the children there. After that we visted the rennovated classes for High Hope Primary School wich will be opened soon. We continued to central Kaihura, were we visited Village Arts, a collection of local businesses which support and are supported by Bringing Hope. This tour was invaluable in developing an understanding of the community in Kaihura, its needs, and the ongoing work of our partners that we will be coming alongside.</div>
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In the afternoon we made a trip to Fort Portal, which is 30 minutes west. There we picked up the last of our medical supplies and went on a guided hike of a local waterfall and caves. On this hike we heard stories of local folklore and experienced the natural beauty of Uganda.</div>
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Katie Sasser explaining the mission of the new clinic to the team.</div>
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Our first visit to Home Again Children's Home</div>
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<br />John-Paul Farsighthttp://www.blogger.com/profile/07114904214516409907noreply@blogger.com0tag:blogger.com,1999:blog-7404076380205312204.post-16921405712264200612013-02-01T01:29:00.001-08:002013-02-01T01:29:32.233-08:00Team Arrives in UgandaThe team has arrived in Uganda this morning and is currently en route to Kaihura. We have stopped for additional medical supplies and lunch in beautiful Kampala. John-Paul Farsighthttp://www.blogger.com/profile/07114904214516409907noreply@blogger.com0tag:blogger.com,1999:blog-7404076380205312204.post-228905042615612322013-01-28T10:53:00.001-08:002013-01-29T08:44:55.789-08:00New Team Prepares to Set Out for Kaihura<span class="Apple-style-span" style="border-collapse: collapse; color: #222222; font-family: arial, sans-serif; font-size: 13px;">A new team is about to set out for Kaihura, Uganda on January 30th on a medical mission in partnership with <a href="http://www.bringinghope.org/">Bringing Hope to the Family</a> and <a href="http://www.globalsupportmission.com/">Know.Think.Act</a>. The objectives of their mission include providing culturally sensitive health care to those that do not have access as well as building relationships with villagers and developing a mutual cross-cultural, global health understanding. </span><br />
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<span class="Apple-style-span" style="border-collapse: collapse; color: #222222; font-family: arial, sans-serif; font-size: 13px;">The team will achieve these objectives by conducting multiple mobile clinics in villages throughout the Kyenjojo District and surrounding area, provide health workshops and hang mosquito nets, during home visits.</span><span class="Apple-style-span" style="border-collapse: collapse; color: #222222; font-family: arial, sans-serif; font-size: 13px;"> The team will also participate in the start up and dedication of a permanent clinic in Kaihura staffed by Ugandans.</span><br />
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<span class="Apple-style-span" style="border-collapse: collapse; color: #222222; font-family: arial, sans-serif; font-size: 13px;">Kaihura Medical Team 2013</span></div>
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<span class="Apple-style-span" style="border-collapse: collapse; color: #222222; font-family: arial, sans-serif; font-size: 13px;">The team from left to right: Rich DiBella (Physician Assistant), Deb Adey (Physician),Chris Pineda (Nurse), John-Paul Farsight (Construction Manager), Alecia Hanson (Nurse), Peg Freitag (Nurse), Karen Natsuhara (Nurse Practitioner), Mariah Teeter (EMT), Cheryl Patzer (Nurse), Carolyn Cook (Nurse), Pamela Mendoza (Pharmacist), Larisa Krichun (Nurse), Kat Haight (Pharmacist), Joy Vongspanich (Pharmacist)</span><br />
<span class="Apple-style-span" style="border-collapse: collapse; color: #222222; font-family: arial, sans-serif; font-size: 13px;">Not in picture: Nick Nowak (Pharmacist)</span></div>
John-Paul Farsighthttp://www.blogger.com/profile/07114904214516409907noreply@blogger.com0tag:blogger.com,1999:blog-7404076380205312204.post-70475117371845485292012-03-23T12:55:00.002-07:002012-03-23T12:56:44.088-07:00Video Presentation to Saint Matthew Lutheran Church<div class="separator" style="clear: both; text-align: center;">
<br /><iframe allowfullscreen="" frameborder="0" height="315" src="http://www.youtube.com/embed/FNHzHYnyC7k" width="560"></iframe></div>Rachel Hammelhttp://www.blogger.com/profile/00616925125111081013noreply@blogger.com3tag:blogger.com,1999:blog-7404076380205312204.post-8072007435741152912012-01-12T19:30:00.000-08:002012-01-18T09:37:33.037-08:00Poem<br />
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You used to sing me <i>Kumbaya</i> at night so I could sleep, sitting on the edge of the bed where I lay, always on the left side, hugging the corner of the mattress. I don’t know why I liked the left side, but I did.</div>
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You were a real singer, or at least I thought you were, or had been at some time; your voice warm and gentle, with perfect rises and perfect falls.</div>
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<i>Kumbaya, my Lord, Kumbaya.</i></div>
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It was a song we sort of laughed about in later years: Oh, remember that? So long ago. What does it even mean?</div>
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I still sleep on the left side of the bed, though I hadn’t heard it in a while. I hated you for a long time. You were so good to me.</div>
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A month ago you and I found ourselves sitting on a dirt slope at an orphanage in Uganda, not really knowing how or why. The orphans were playing on our laps, so many of them—2, 3, 4 of them piling on our stomachs as we lay, hugging them, letting it all happen. They played with our hair; a boy, the one you joked about adopting, fixed your shirt so your cleavage wouldn’t show. I was filming. You laughed and I think the laugh turned into a cry. We looked out into the hills and sang; I was sitting on the left side. We made harmony.</div>
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<i>Come by here, my Lord, Come by here.</i></div>
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<br /></div>Rachel Hammelhttp://www.blogger.com/profile/00616925125111081013noreply@blogger.com0tag:blogger.com,1999:blog-7404076380205312204.post-85946011528630311022012-01-02T15:05:00.000-08:002012-01-02T15:05:41.276-08:00Total Stats<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Below are the final stats from our Uganda medical mission:</span><br />
<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif; font-size: large;"><b><br /></b></span><br />
<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif; font-size: large;"><b>Total patient consults: 1,312</b></span><br />
<b><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">HIV tests: 22 of 714 positive</span></b><br />
<i><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">HIV Female: 17 of 422 positive </span></i><br />
<i><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">HIV Male: 5 of 292 positive</span></i><br />
<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Malaria tests: 42 of 233 positive</span><br />
<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Syphillis tests: 12 of 133 positive </span><br />
<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Typhoid tests: 40 of 99 positive </span><br />
<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Urinary analyses: 5 of 25 positive </span><br />
<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Pregnancy tests: 6 of 21 positive</span><br />
<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><br /></span><br />
<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Also, all other Uganda photos are on my online Picasa album: <a href="https://profiles.google.com/RNHammel/photos/5693146722782682385?hl=en">https://profiles.google.com/RNHammel/photos/5693146722782682385?hl=en</a></span><br />
<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><br /></span><br />
<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Happy New Year!</span><br />
<br />Rachel Hammelhttp://www.blogger.com/profile/00616925125111081013noreply@blogger.com0tag:blogger.com,1999:blog-7404076380205312204.post-46692989244143783142011-12-25T08:42:00.000-08:002011-12-25T15:01:37.579-08:00Home again.<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Most of the team has left Uganda and safely arrived in the United States just in time for Christmas, after nearly a month of volunteer work among communities in need in Western Uganda. For those UCLA nurses who stayed to continue their trip until after Christmas, Happy Holidays and we wish you a safe journey onward!</span><br />
<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><br /></span><br />
<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">The unrelenting dedication, effort, love and gratitude I've witnessed over the last several weeks among the American team and the Ugandan people has been both astonishing and humbling. I hope we left a mark on their lives and their hearts, for they surely left one on ours.</span><br />
<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><br /></span><br />
<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">A big <b>thank you </b>to <a href="http://www.globalsupportmission.com/" target="_blank">Global Support Mission</a>, <a href="http://www.bringinghope.org/" target="_blank">Bringing Hope to the Family</a>, and <a href="http://www.snd1.org/" target="_blank">The Sisters of Notre Dame</a> for their hospitality and selflessness.</span><br />
<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><br /></span><br />
<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Alecia Hanson and I will be planning a presentation of the trip at </span><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><a href="http://saintmatthew.org/" target="_blank">Saint Matthew Lutheran Church</a></span><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"> sometime in January, so stay tuned for details on that.</span><br />
<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><br /></span><br />
<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Also, congratulations to Alecia on her job offer as a Labor and Delivery Nurse at </span><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><a href="http://www.ucdmc.ucdavis.edu/medicalcenter/" target="_blank">UC Davis Medical Center</a></span><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">! That girl deserves it.</span><br />
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<br />Rachel Hammelhttp://www.blogger.com/profile/00616925125111081013noreply@blogger.com0tag:blogger.com,1999:blog-7404076380205312204.post-91804629783124796642011-12-22T21:47:00.000-08:002011-12-22T21:47:36.891-08:00Nile Safari<div class="separator" style="clear: both; text-align: left;">
<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">What other way to end our time in Africa than on a 2-day safari along the Nile River? </span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">We saw: </span></span></div>
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<ul style="font-family: Times;">
<li><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Water Buffalo</span></span></li>
<li><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Giraffes</span></span></li>
<li><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Elephants</span></span></li>
<li><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Antelope</span></span></li>
<li><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Ugandan Kobs</span></span></li>
<li><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Warthogs</span></span></li>
<li><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Hippos</span></span></li>
<li><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Monkeys</span></span></li>
<li><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Baboons</span></span></li>
<li><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Waterbacks </span></span></li>
<li><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Jackson Hartebeests</span></span></li>
<li><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Tons of unidentifiable birds</span></span></li>
</ul>
<div style="font-family: Times;">
<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Sadly, we did not get the chance to see any lions, so some of us didn't get to come full circle with our Lion King childhoods. Will just have to come back someday...</span></span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9zhW6kEA6a9Nsm1n_S2KjOy8ds1Hg60Le9LIB65CnZQhtWwlPWDI77D0ZCLKedsb0EwRueZ5wJ9K3Y6csG4aEDGUBdce_YNSmJHTxAMTKvCogooALm0TwwwW47za8f0OHvVQkFSt0WSyi/s1600/IMG_6042.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="298" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9zhW6kEA6a9Nsm1n_S2KjOy8ds1Hg60Le9LIB65CnZQhtWwlPWDI77D0ZCLKedsb0EwRueZ5wJ9K3Y6csG4aEDGUBdce_YNSmJHTxAMTKvCogooALm0TwwwW47za8f0OHvVQkFSt0WSyi/s400/IMG_6042.JPG" width="400" /></a></div>Rachel Hammelhttp://www.blogger.com/profile/00616925125111081013noreply@blogger.com0tag:blogger.com,1999:blog-7404076380205312204.post-7795593642029775322011-12-22T13:50:00.000-08:002011-12-22T13:50:32.135-08:00Buseesa Outreaches<div class="separator" style="clear: both; text-align: center;">
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<br /></div>Rachel Hammelhttp://www.blogger.com/profile/00616925125111081013noreply@blogger.com0tag:blogger.com,1999:blog-7404076380205312204.post-61287906799828860612011-12-21T08:14:00.000-08:002011-12-22T22:20:36.621-08:00Buseesa HIV Education and Prevention<b><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">December 20, 2011</span></b><br />
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<i><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">This post includes a series of interviews addressing the following: the implementation of one of our team member’s HIV education study, the cultural stigma associated with HIV in Uganda, gender inequalities in matters involving sex and relationships, and the challenges that arise when a scientific approach to disease prevention, treatment and education meets the standpoints of a faith-based organization within a faith-based community.<o:p></o:p></span></i></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><span class="Apple-style-span" style="font-size: x-large;">In addition to our daily medical outreaches to villages in Buseesa and the surrounding area, Uganda Support Mission is supporting another major effort here in the community: <b>Carlo Hojilla’s field study on HIV education and prevention.</b></span><o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Carlo, a 26-year-old MSNP (Masters in Science Nursing Program) student at UCLA, has been interested in HIV for several years. Last Spring<span style="color: red;"> </span>he teamed up with <a href="http://ugandasupportmission.blogspot.com/p/meet-team.html" target="_blank">Alecia Hanson</a>, the UCLA nursing graduate who spearheads Uganda Support Mission, to create a formal study to address the lack of education about and stigma associated with HIV in Uganda.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">“A lot of medical literature on HIV is focused on women and children,” Alecia recounts in my recent interview with her about the study. “So we wanted to try to start working on interventions with men, especially since they have a lot of control over sexual decisions.”<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Based on the team’s experience in Uganda in December of 2010 and this past September 2011, <b>hardly any men chose to be tested for HIV</b> out of the 1,235 HIV tests conducted.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">“We started talking to men and asking them why they didn’t want to get tested,” Alecia said, “and found that they view a positive HIV status as a ‘death sentence.’”<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">She discussed with me at length the problems arising with the discovery of an HIV infection, and about how in this patriarchal society, HIV positivity is a sign of weakness; a threat of emasculation; an inability to take care of one’s family. </span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">So, simply, men would rather not know their status.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">I sat down with Carlo to get a better understanding of the study and a deeper look into the stigma that inspired its enactment:<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>Rachel (R): </b>Tell me about the study you’re doing here.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>Carlo (C):</b> The study we’re doing involves looking at the effectiveness of working with religious organizations, particularly the village church and the village priest [Father Godfrey], and using his influence to increase knowledge and reduce stigma among men in the community. And also convincing the men to get tested for HIV.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>R: </b>How and when did you come with the idea for this study?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>C: </b>This came up when I heard about the Uganda trip that Alecia was trying to organize. I talked to her about it. She was mentioning basically that there’s a high prevalence of HIV in Uganda, and I said that’s interesting because my interest is in HIV education and prevention. So I asked her if it would be good to do an HIV education seminar. She said yes, and that they had done it last year. I figured maybe we could do a research study about this. So I talked a faculty advisor,<span style="color: red;"> </span>Dr. Namathy, and she said she’d be our faculty sponsor and support our doing this.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>R: </b>How did you become interested in HIV education and prevention?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>C: </b>I got interested in HIV as an undergraduate. I took a microbiology class and we were talking about HIV. I was just fascinated by the virus and how it attaches to human cells and how it works. I actually thought of changing my major to “micro” and focusing in virology, but that didn’t happen. So I got into nursing and I figured nursing could always branch out into HIV care.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>R: </b>Are you happy that the study was approved by UCLA?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>C: </b>Yes, very happy. I was jumping up and down. The fact that this is our very first study, and we have no experience writing a protocol—it’s very exciting.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>R: </b>What sort of research did you do for the study before coming to Uganda?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>C: </b>Basically reading up on prevalence and incidence in Uganda, and HIV education and prevention strategies that they’ve used here before. And also research of the co-infections common with HIV in Uganda.<o:p></o:p></span><br />
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>R: </b>How is the study going so far?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>C: </b>So far I think it’s going good.</span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>R: </b>What does the actual seminar look like? And what issues do you cover?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>C: </b>It’s pretty informal. We’re out in the field, the guys are sitting. We try to recruit them—we have Father Godfrey inviting the men during the outreach. What happens next is I introduce myself and the rest of the team and explain what it is that we’re doing. Then we have Adolf give an informed consent, which basically describes everything that will be happening in the seminar. We answer any questions they might have and then do a pre-test to assess their baseline knowledge and baseline stigma.<o:p></o:p></span><br />
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Then we do the education, which primarily covers prevention and transmission. If we have time we also cover treatment and management of HIV.<o:p></o:p></span></div>
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<i><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">[The seminars also include lectures and group discussions on the disease process, disease treatment, misconceptions about HIV, and the ABC approach: Abstinence, Being faithful, and Condom use.]<o:p></o:p></span></i></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">We also discuss the issue of condoms. Father Godfrey, because he’s sort of the main character in the study, presents the church’s position, and then we have our position as well: a little more scientific-based position—the benefits of using condoms. So we leave it up to the participants to decide to use them or not.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Then at the end we have Father Godfrey leave and ask the participants how they feel having him talk to them about HIV. Would they attend the class again if it was taught by Father Godfrey? What did they learn? How did they like the seminar?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Then we do a post-test, and afterwards we offer HIV testing for those that are interested.<o:p></o:p></span><br />
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>R: </b>Do you find that the participants feel more comfortable with Father Godfrey there rather than absent?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>C: </b>Surprisingly yes. On our first day, when he was present, the men seemed very restrained. When he left they were raising a lot of questions. Then we he came back he made a point to say, “I may be a priest but you can talk to me, I’m your friend…raise your questions, I don’t care what they are.” And I noticed that they started raising more sensitive questions to him.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>R: </b>Why do you think they were restrained?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>C: </b>I think just the fact that he’s a priest and maybe the impression that they had to be behaved. Maybe they felt embarrassed raising questions, especially regarding sexuality and sex and relationships and things like that.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>R: </b>How many participants of the seminars stay to be tested for HIV?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>C: </b>So far out of 34 that we’ve had, I’d say about 25 have been tested. Michael, one of our Ugandan translators for the seminar, says this is actually a pretty good rate.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>R: </b>Can you talk more about this stigma associated with men and HIV?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>C: </b>Over here I guess there’s a lot of stigma involved with HIV/AIDS—nobody wants to talk to you, nobody wants to touch you, nobody wants to work with you. From reading a lot of articles and from our translators a lot of people with HIV are shunned by their families. They’re seen as being dirty, shameful. So we’re trying to address those myths surrounding HIV by opening up a dialogue.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>R:</b><span style="color: red;"> </span>What do you hope will come of this study?<span style="color: red;"><o:p></o:p></span></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>C: </b>The main thing is addressing the stigma surrounding prevention and transmission. It’s not taboo to talk about it, it’s ok to say, “I’m positive.” And also hopefully in terms of sustainability—that we can continue this. Michael and Adolf will be receiving the material we’ve been using. So they can use it here in Buseesa and also in Kaihura.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><span class="Apple-style-span" style="font-size: x-large;">I wanted to get several perspectives on these issues, so I spoke with Father Godfrey (a Ugandan priest in Buseesa) about his role in the seminar.</span><o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>Rachel (R):</b> How is the HIV seminar going?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>Father Godfrey (FG):</b> Generally speaking, the HIV seminar is going wonderful. I’ve liked it. We have conducted it. I have also liked the response of people. It has been positive.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>R:</b> What do you mean by positive?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><br /><b>FG:</b> That is, <b>they participated actively; they listened attentively</b>, and then when we requested them to come for HIV test and counseling, they responded positively, many of the people.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>R: </b>Have you been finding that men have accurate ideas about HIV transmission and prevention?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>FG:</b> Not all. Some of them have accurate ideas, but some don’t know. They have mixed ideas about the transmission and prevention, HIV and AIDS.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>R: </b>What kinds of ways can you prevent HIV—that you tell them?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>FG:</b> From the religious point of view we have emphasized 2 major aspects: that is to be faithful to their partners and to abstain themselves from sexual activities—that is abstinence. <o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>R: </b>Even with married men?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>FG:</b> Even with married men. With the married men we mostly emphasize the aspect of faithfulness. If the man is faithful to his wife and the wife is faithful to her husband, then the risk of getting HIV is so, so, so minimal.<o:p></o:p></span><br />
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>R: </b>Do you find that a lot of men are unfaithful to their partners, or no?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>FG:</b> Well at the moment it is difficult to tell “yes” or “no,” but what I know is that some of the men are not faithful to their partners. But some are faithful.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>R: </b>Do some men have multiple wives?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>FG:</b> Yes, some of the men are polygamous.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>R: </b>Do some women have multiple husbands?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>FG:</b> It is a rare case, but they’re there. It’s unusual.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>R: </b>What about a married couple where one partner has HIV and the other doesn’t?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>FG:</b> Normally we treat that as a special case, first of all we need to sit with the two and agree among themselves.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>R: </b>Agree among themselves on what?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>FG:</b> Mmm, you know, when they are legally married, that is, when the church makes them a legal marriage, they take vows. And they say, “we shall live together in good and in bad.” And so we first ask the two whether they are still consenting or willing to live together since they made such a vow. If they are not legally married, then they are free to separate. At the moment, it is a sensitive issue, more especially to talk about the use of condoms. We could advise them to use the condoms, but that itself is not a remedy to solving the problem. Because even if they use the condom, we find again when they have abandoned it. So they still can infect each other.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>R: </b>Do you think if they used condoms all the time, and never abandoned it, that that would be effective in preventing HIV?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>FG:</b> No, because the condom itself has got its limitations. Some of the condoms that are used are not one hundred percent perfect. So whether they use the condoms there are still chances of contracting the virus. If they don’t know even how to use it, if the condom has expired—it has it’s own limitations. So that alone cannot one hundred percent say that if they used it, then they wouldn’t contract the virus.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>R: </b>If men used condoms properly—the way that they’re instructed to be used—and if the condoms are not expired, and if you used them every time you have sex, do you think they’re effective in preventing HIV?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>FG:</b> I cannot guarantee, because research has found out that even the condoms which are used, some of them are manufactured, but when they are duplicated or when they are not well-…mmmm…prepared, or when they are not properly manufactured, that they have micro pores which can also permeate, allow, the virus to penetrate and then infect the other. So for me, on the religious point of view, I wouldn’t so much advocate for the use of condoms. Though, I do respect that it has got its advantages, that it can help some to alleviate the spread of HIV.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>R: </b>You mentioned research—do you remember what research? Can you point to exactly where you found that information?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>FG:</b> Ok, I…no, no, no, not necessarily, but you can probably get that information from the National Bureau of Standards. Sometimes in the newspapers it appears that such and such, um, probably the National Bureau of Standards has arrested about 10,000 packets of condoms which are not to standard. They were found to be duplicated. Some of them we read them in the newspaper like <i>The New Vision</i>, or <i>The Monitor</i>, such headlines have appeared in our media. Yeah.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>R: </b>Anything else you want to add?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>FG:</b> Not at the moment. Thank you.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><span class="Apple-style-span" style="font-size: x-large;">As an adjunct to Carlo’s study, our female team members also conducted HIV seminars for Ugandan women. I asked them to share what they received as the Ugandan women’s perspective on sex, condom use, relationships, HIV and STD transmission. </span><o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>Edyssa: </b>They’re very knowledgeable about HIV. Any question we would throw at them they would be able to answer right on the spot. But really, the matter of the issue was that they don’t have any control in using condoms during sex, or to abstain from it if their husband does test positive for HIV. <b>So if they tried to insist on either, they would be beaten</b>.</span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>Ty Ty: </b>I had a patient yesterday who keeps getting STIs because her husband keeps sleeping around with other women. She is 29 years old and has 5 kids with this guy. He wasn’t even there with her at the outreach. <b> She told me that he refuses to get tested for HIV. </b></span><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">She asked me what she can do, and I told her she has three options: she can either tell him to stop sleeping around, she can use a condom every time he has sex with her, or she can leave him.</span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>Rachel:</b> What was her response?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>Ty Ty:</b> She just laughed.</span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>Mama Lynda:</b> It was very interesting. Their main questions were about how a man who’s HIV positive can have relations with an HIV negative wife. I said that it’s only a matter of time before he will infect her if he’s not using a condom.</span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>Rachel: </b>What did they have to say about condom use?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>Mama Lynda:</b> Well they were very frustrated that the men don’t like to wear condoms. They may wear them a time or two but <b>after a while they decide that it’s not as pleasurable to wear one, and that seems to be more important to them than whether or not they’re protecting their wives from HIV.</b><o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>Rachel: </b>Is it easy for a woman to insist that the man wear a condom during sex?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>Mama Lynda:</b> Not at all. The men are the ones who decide and if a woman were to refuse sex or insist the man wear a condom she could suffer a beating. </span><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">A very frustrating part about this is it seems to be customary for a man to get bored with his wife sooner or later and go outside the marriage for sex. And often that’s where he contracts the virus and brings it home to his wife.</span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>Suzy:</b></span><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"> In our group the major problem was this: women would ask questions like, "What if my husband has HIV and I don’t, but he’s refusing to wear a condom...what do I do?" We said to leave your husband, but that’s obviously not an option, because that means you’d have to leave all your kids, and not have any means or ways to support yourself.</span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>Rachel: </b></span><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Is there a solution, do you think, for these women?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>Suzy: </b>I think we can just really educate the men, because they seem to be the ones that are more resistant, and they have more control. And then maybe hopefully one day get the Catholic church involved to really promote condom use within married couples as well as the men that go out and have relations outside the marriage.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>Rachel: </b></span><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">If you were leading a men’s HIV seminar, what would be your main point to tell them?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>Suzy: </b></span><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Emphasizing that <b>you’re more of a man protecting your family than not wearing a condom.</b></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>Chelsea</b>: The main concern was how they could prevent HIV when their husbands were sleeping with other women, and how they could stay negative, because their husbands didn’t want to use condoms and wanted to keep having sex with them. <b>There’s not a real easy solution.</b><o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>Rachel: </b>Is it easy for a woman to request or insist their partners use condoms?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>Chelsea: </b>No.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>Rachel: </b>Why?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>Chelsea: </b>We talked about what safe sex is, what protected sex is. <b>At first they thought protected sex was sex with someone who wasn’t infected with HIV</b>, so we really had to redefine that: protected sex is with a condoms no matter who it is. They said condoms aren’t very widely used, especially with their husbands—that condoms are something they can’t really ask for.</span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>Alecia: </b>The use of condoms is a tricky. It’s difficult to implement an approach when it’s such a gray issue. The initial problem—the real issue—is being unfaithful. </span><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Then what do we do when someone hasn’t been faithful...do we implement condom use or not?</span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>Rachel: </b>How have you been dealing with the gray area?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>Alecia: </b></span><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">With the gray area, there's always exceptions to the rules. We’re really trying to emphasize faithfulness, which is really coming from a perspective of love. If you love your wife, if you’re HIV positive, you really want to protect her so she can live and take care of the children. </span><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">I think condom use is very effective as long as they’re using it correctly, and actually using it, and they get condoms that work and don’t have holes in them. I don’t know if this is true, but they say that some Ugandan brands don’t make high-quality condoms. They make cheap ones that break.”</span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif; font-size: x-large;">Ok, let's go back to Carlo.</span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>Carlo:</b> Michael [a Ugandan] concurred that there are “fake” condoms out there that are flimsy, they break, or they aren’t constructed so that there <i>aren’t </i>holes in them, and so I think that’s what Father Godfrey was trying to allude to: the fake condoms. I believe Alecia spoke to him about that, that condoms, if they are of good quality, and they’re not made potentially to fool people, are supposed to <i>not</i> have any holes in them. If you use them properly, they're around 97% effective.”</span><br />
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>R: </b>What sorts of issues with fidelity have you encountered with the men?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>C: </b>We haven’t been directly asking them about extramarital affairs, but based on the socio-demographics we’ve been collecting, <b>some men are reporting that they have 2, 3, 4 wives.<o:p></o:p></b></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>R:</b> Do the female patients you’ve consulted ever talk about being unfaithful to their husbands? <o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>C: </b>No, actually, I haven’t come across that.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>R: </b>One of the main issues that our female team members reported after conducting HIV seminars for the Ugandan women in this community is that if the women refuse sex or request that their partner use a condom, it often results in cases of men inflicting violence on those women. Has that issue ever come up during your seminars with the men?<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><b>C: </b>No. Father Godfrey tried to touch on that—to love your wife, respect your wife, be responsible to your wife and your family. But yeah, it is a pretty male-dominant society. So basically, sexual decisions are made by men. That is the main reason we want to focus on men in our seminars.</span></div>
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<br /></div>Rachel Hammelhttp://www.blogger.com/profile/00616925125111081013noreply@blogger.com0tag:blogger.com,1999:blog-7404076380205312204.post-69272191586857669722011-12-19T03:06:00.001-08:002011-12-19T03:06:09.891-08:00New <a href="http://ugandasupportmission.blogspot.com/p/meet-team.html" target="_blank">Meet the Team</a>!Rachel Hammelhttp://www.blogger.com/profile/00616925125111081013noreply@blogger.com0tag:blogger.com,1999:blog-7404076380205312204.post-18089405398479735482011-12-19T02:24:00.000-08:002011-12-19T02:24:00.849-08:00"The Karuguza Market" or "How our starvation for variety was temporarily satiated"<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">The selection was dismal when Chelsea, a UCLA student RN, and I rode to town in hopes of finding snacks for our hungry group. We came back with "biscuits"--sweet, dry, crumbly crackers--some expensive imported apples and sore backsides from a bumpy ride in the back of a pickup truck.</span><br />
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Thankfully, though, some of us were able to return to town on Saturday, and were happily surprised at the discovery of a farmer's market. </span><br />
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif; font-size: x-small;">A man selling Rapper/Hip hop artist posters (R. Kelly, Akon, Nelly, etc.) in one hand....</span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif; font-size: x-small;">...and Alphabetical Chart and Terrorist posters in the others.</span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">We came back from the trip with, most notably, avocados (!!!!!!!). Mama Lynda and I made guacamole, for which the hungry group was very grateful. </span><br />
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<br />Rachel Hammelhttp://www.blogger.com/profile/00616925125111081013noreply@blogger.com0tag:blogger.com,1999:blog-7404076380205312204.post-75648633603961741002011-12-17T02:51:00.000-08:002011-12-17T03:16:35.650-08:00Photos from Buseesa Outreaches<div class="separator" style="clear: both; text-align: center;">
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiSr8VTz_cfOFrsTP3a7rJWKbFGz4JSvnNNM2qFtle09zy8_hKlcTWFKnNxPivLfIRl99JlYNU8bcm8h0VfctpJ3dhL86g_DhngL0LqR-rGzq-0YjcQOFwSW-jlnbRZKJV1LT7SASIKzlEN/s1600/PC134293+copy.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiSr8VTz_cfOFrsTP3a7rJWKbFGz4JSvnNNM2qFtle09zy8_hKlcTWFKnNxPivLfIRl99JlYNU8bcm8h0VfctpJ3dhL86g_DhngL0LqR-rGzq-0YjcQOFwSW-jlnbRZKJV1LT7SASIKzlEN/s400/PC134293+copy.JPG" width="400" /></a></div>
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Our daily landscape</div>
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<br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhVE798cbecRoE9KEeEwSwRRfplNqWKReCiUkwPCXqGo-2PSIvDHkHPoj2BnFQIRS3p1XYFHt8vMPIkAYI2IpPD-SPwlGYP1UqRSH7l23PNv3LLAuun3Evejmf_WdqHTJobsSfkn6oodazt/s1600/PC134288+copy.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhVE798cbecRoE9KEeEwSwRRfplNqWKReCiUkwPCXqGo-2PSIvDHkHPoj2BnFQIRS3p1XYFHt8vMPIkAYI2IpPD-SPwlGYP1UqRSH7l23PNv3LLAuun3Evejmf_WdqHTJobsSfkn6oodazt/s400/PC134288+copy.JPG" width="400" /></a></div>
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Brittany conducting patient assessments at the triage station</div>
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Melinda drawing blood </div>
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Miki chatting with her patient, about to draw blood</div>
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The team winding down after a hard day's work with dinner and Ugandan beer</div>
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"People have been
really appreciative,” Alecia says. "We’ve cleared up a lot of myths and misconceptions
about STDs, especially syphilis."<b><o:p></o:p></b></div>
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Some locals performing for the team</div>
<br />
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Mama Lynda, merry as usual</div>
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<br /></div>
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Drum performance</div>
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Mama Lynda greeting a child in line</div>
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Blood drawing station, where we test for HIV, typhoid, malaria, syphilis, STIs, urinalysis, pregnancy, and blood sugar</div>
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Alecia discussing logistics with Father Godfrey</div>
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Suzy consulting a patient with her Ugandan translator</div>
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Caroline drawing blood</div>
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People waiting to be seen</div>
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Carlo and Amy consulting with patients</div>
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The ultimate Indiana Jones experience</div>
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Alecia at triage</div>
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Late night pill-packing parties in the convent</div>
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Squeezing 20 people in the back of a pickup truck, twice a day everyday</div>
<br />Rachel Hammelhttp://www.blogger.com/profile/00616925125111081013noreply@blogger.com1tag:blogger.com,1999:blog-7404076380205312204.post-27658313911753771512011-12-14T07:41:00.000-08:002011-12-25T11:39:23.711-08:00Buseesa Fashion<div class="separator" style="clear: both; text-align: center;">
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<br />Rachel Hammelhttp://www.blogger.com/profile/00616925125111081013noreply@blogger.com1tag:blogger.com,1999:blog-7404076380205312204.post-73874656646081705452011-12-14T07:26:00.000-08:002011-12-14T07:26:41.208-08:00Hello, Busesa!<br />
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Day 12 – De. 14</span><span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;"><sup>th</sup></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">On Tuesday the team left Kaihura and drove to Busesa to continue the second part of our medical mission. We met up with the 13-member team of UCLA undergraduate and graduate nursing students and are all staying with the Sisters of Notre Dame (not at all connected with Bringing Hope to the Family).<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Our housing is more like a hostel than a compound: three large connected bedrooms each with 4 sets of bunkbeds, so 8 beds each, and bathrooms/showers on each end. (Indoor bathrooms! Running water! Showerheads! Porcelain toilets! We are in heeeaaveeeen.)<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">We completed our first outreach on Tuesday in the village of Kitengeto. We cleared out the St. Peter Catholic Church and set up several stations that would serve a total of 219 people over 8 hours: registration, triage, patient consults, physical examinations, blood drawing, laboratory, patient counseling, and pharmacy.</span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">Results:</span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">HIV: 4 out of 106 positive<span class="Apple-style-span" style="color: red;"><o:p></o:p></span></span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">We also tested for Malaria, typhoid, and syphillis.</span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">We were exhausted by the end of the day and had to start turning people away at 5 p.m., otherwise we would have been there all night. I have so many beautiful photos of our team and the Ugandans but sadly cannot upload all of them due to the lousy internet connection. But I hope you enjoy the select ones I am able to post. </span></div>
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<span class="Apple-style-span" style="font-family: Georgia, 'Times New Roman', serif;">We will be going to medical outreaches nearly everyday until the end of our stay here.</span></div>
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</div>Rachel Hammelhttp://www.blogger.com/profile/00616925125111081013noreply@blogger.com0